Retroperitoneal synovial sarcoma is extremely rare, with only a few cases reported in the literature. The diagnosis is often made late, due to anatomical considerations, with common symptoms including low back pain and weight loss. Imaging is critical for diagnosis, often revealing a heterogenous mass with the "triple sign" and calcifications.
View Article and Find Full Text PDFMelorheostosis is a rare benign bone dysplasia characterized by dysostosis and sclerosis. The classic "dripping candle wax" appearance on imaging is a typical finding for the diagnosis. The authors report the case of a patient presenting with a hard and painful mass on the dorsal side of the hand.
View Article and Find Full Text PDFHemiazygos continuation of a left-sided inferior vena cava (IVC) is an extremely rare developmental anomaly. We present the case of a male patient in whom this condition was incidentally discovered during a thoraco-abdominopelvic CT scan. With the widespread use of contrast-enhanced computed tomography and magnetic resonance angiography, the detection of congenital IVC anomalies has become more accessible.
View Article and Find Full Text PDFZinner syndrome is a rare congenital malformation characterized by cystic seminal vesicles and ejaculatory duct obstruction in association with ipsilateral renal agenesis. It appears to be frequently linked to infertility. However, recent advances in imaging, notably MRI, have led to an increase in the diagnosis of this pathology.
View Article and Find Full Text PDFTuberculosis (TB) is a common infectious disease that most often affects the lungs, but it can also affect any other organ with a wide range of clinical manifestations. There are three forms of hepatic involvement: diffuse hepatic tuberculosis combined with pulmonary tuberculosis; diffuse hepatic tuberculosis without pulmonary involvement; and nodular or focal/local hepatic tuberculosis, which is a very rare form and presents a diagnostic challenge. We here report the case of a young Moroccan man presenting with biliary colic that had been evolving for a month, associated with a forme fruste of tuberculous impregnation.
View Article and Find Full Text PDFInferior vena cava IVC is a crucial route for catheter access (both directly to the right heart and indirectly through a transeptal puncture to the left heart, used in most electrophysiological procedures). However, interrupted IVC is a real challenge to traditional arrythmia ablation approaches, compromising in certain cases the success of the procedure. A well-developed azygos continuation offers an alternative pathway, bypassing the interrupted segment of the IVC.
View Article and Find Full Text PDFForeign bodies may be ingested accidentally or intentionally. Generally, they pass through the digestive tract without causing complications unless they become lodged. Patients often present with nonspecific clinical symptoms, and diagnosis is frequently delayed because they do not recall ingesting anything.
View Article and Find Full Text PDFThe retention of a surgical sponge is a rare complication that presents diagnostic challenges and carries the risk of potential complications. Two distinct foreign body reactions, fibrinous, and exudative, can result in the formation of a granuloma (known as gossypiboma) or lead to complications such as abscess formation and migration into the gastrointestinal tract. In this report, we present the case of a 33-year-old woman with a history of splenectomy who presented with symptoms including epigastric pain, vomiting, and episodes of hematemesis.
View Article and Find Full Text PDFBrown tumors are non-neoplastic bone lesions caused by an abnormal remodeling of the bone that may occur with primary or secondary hyperparathyroidism. Their radiological aspect: lytic and aggressive can easily be misdiagnosed for a malignant origin hence the importance of knowing that diagnosis is to be considered through both clinical context and radiological semiology, which will be detailed via this case of a 32-year-old female patient with an end-stage kidney disease, admitted for facial disfiguration and palpable masses corresponding to brown tumors affecting the maxilla and the mandibular bone.
View Article and Find Full Text PDFThe superior mesenteric artery syndrome and nutcracker phenomenon are rare vascular disorders due to the abnormal development of the superior mesenteric artery stemming from the abdominal aorta with reduced angle (<22°) and resultant compression of the left renal vein and duodenum. It is an underreported entity due to the absence of specific pathognomonic signs. We report the case of a 59-year-old man, admitted for acute bilious vomiting, who underwent a gastroscopy and a computed tomography scan revealing a Wilkie's syndrome associated with a dilated posterior left renal vein communicating with the left ascending lumbar vein without connection with the inferior vena cava mimicking a nutcracker phenomenon.
View Article and Find Full Text PDFInfantile fibromatosis is a rare mesenchymal disorder characterized by the fibrous proliferation of the skin, bone, muscle, and viscera. The clinical features vary from solitary to multicentric forms with similar pathological features. Although the tumor is histologically benign, it is a highly infiltrating lesion making the prognosis poor for patients with craniofacial involvement affection due to the major risk of nerve vascular and airway compression syndrome.
View Article and Find Full Text PDFabdominal pain or jaundice. Cross-sectional imaging is beneficial in making the diagnosis noninvasively, thus eliminating other pathologies of the peri-ampullary region. We present 2 cases of Lemmel's syndrome whose diagnosis is retained based on a CT scan and magnetic resonance cholangiopancreatography.
View Article and Find Full Text PDFThe hydatid cyst of the liver is the most common location of hydatid disease. Complications in this form are dominated by superinfection of the cyst and rupture into the bile ducts or the peritoneal cavity. We report the case of a 54-year-old female patient with a hydatid cyst of the liver complicated by a rupture in the gallbladder revealed by urinary symptoms.
View Article and Find Full Text PDFBronchopulmonary cancer muscle metastases are uncommon, especially when they are visible. They can impact any muscle in the body, but the psoas, diaphragmatic, and paravertebral muscles have a clear advantage. We present a case of lateral pterygoid muscle metastasis of squamous cell carcinoma of the lung in a 70-year-old habitual smoker (40 packs per year) presents headaches more marked on the right and progressively worsening.
View Article and Find Full Text PDFProstatic abscess is a rare entity that occurs most frequently after the age of 50. The main risk factors are immunosuppressive conditions such as diabetes, HIV infection and chronic renal failure. It is clinically manifested by signs of bladder irritation.
View Article and Find Full Text PDFCase Rep Gastroenterol
March 2022
Biloma is a severe complication that can result from bile duct disruption or hepatic trauma. It can occur after biliary surgery such as cholecystectomy or an endoscopic retrograde cholangiopancreatography manipulation and endoscopic biliary sphincterotomy. We present the case of a 59-year-old man admitted for jaundice, with pain in his right flank and fever, 10 days after an endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA) for an ill-defined pancreatic lesion, associated with an infected biloma.
View Article and Find Full Text PDFA real life-threatening emergency, Wunderlich syndrome (WS) is an interesting and unknown clinical condition characterised by intense beginning of spontaneous, non-traumatic renal haemorrhage in the sub-capsular and perirenal space, with a typical clinical and radiological presentation [1] that allow the diagnosis. Although most cases are treated invasively either by surgery or embolization to control the bleeding, Fortunately our 66 year old patient admitted to the Mohammed V military hospital in Rabat benefited from a conservative treatment, which allowed him to avoid all the associated complications and to be discharged from hospital in less than 4 days.
View Article and Find Full Text PDFTracheobronchial injuries following blunt chest trauma are rare and can be lethal. CT scan can help to diagnose it when a defect to the tracheobronchial wall is visible or to suspect it in front of indirect signs.
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